Premises Information


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Name

WILORA LAKE HEALTHCARE CENTER

Address

6001 WILORA LAKE RD

City/State/ZIP

CHARLOTTE

28212

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

12/30/2013

Final Score @ Grade

91.50

General Comments

Jane Jackson(administration) and Avery Patterson(housekeeping) were present during the inspection.#4 - Observed lights were not working in the 400 hall shower room and in the main hall nourishment room. **Repair lights.#19 - Observed cups with out handles were being used to scoop ice, and several coolers had undrained ice. Use a handeled scoop to dispense ice, and keep water drained off ice. **Ice shall be handled, transported, stored, and dispensed in such a manner as to be protected against contamination. 15A NCAC 18A .1314 (b).#21 - Observed litter scattered at the dumster area. **Solid waste containers, rooms, or designated areas shall be kept clean. 15A NCAC 18A .1316 (c).#30 - Observed the med cart trash cans stored/affixed on the same side of the med cart as the clean utensils. **Move the trash can/sharps container to the opposite side of the med cart.#42 - Observed a breakfast plate (toast and eggs) was stored in the nourishment room. Breakfast is served at 7am, and time that the food was taken out of temp. control was unknown. Food was discarded. **All potentially hazardous food products shall be maintained at 45°F, or below, or 140°F or above except during necessary periods of preparation and serving. 15A NCAC 18A .1323 (a). **Potentially hazardous foods served shall be either consumed or discarded within two hours of being removed from temperature control. 15A NCAC 18A .1323 (a)

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
2	1	Floors clean, carpet clean, dry, odor free	No	No	No	Observed the floors were no clean in the shower rooms, and a spilled (dried) substance on the floor in the laundry room closet.**Keep all flooring clean. 15A NCAC 18A .1309 (a).
3	1	Walls and ceilings cleanable, clean, good repair	No	No	No	Repeat non-compliance: Observed the ceiling throughout the facility with surface damage; the walls at the sink were damaged in the physical therapy restroom; the ceiling was damaged at the sprinkler head in room 407; the wall was dirty near the sink in the staff restroom (300 hall) wall damage at the shower in the main hall shower room; and some resident rooms with wall damage near beds.**Keep all walls and ceilings clean and in good repair. See rule .1310.
8	1	Facilities conveniently located, clean and in good repair	No	No	No	Observed the (food service) hand washing sink in the dinng room was dirty, and some sink faucets were corroded.Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)Observed the safety straps on a shower chair with black build-up. Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).Observed an elevated toilet seat with dried urine in room 407; and the toilet in the main hall shower room was soiled.**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
12	1.50	Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device	No	No	No	Repeat non-complaince:Observed no paper towels were supplied to several hand washing sinks: main hall shower room, soiled utility room and the clean supply room (between 200 and 400 halls), 200 hall nourishment room.**Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d).
14	1	Disinfectant accessible, properly used	No	No	No	Observed no disinfectant was supplied in the main hall shower room and in the 400 hall shower room.Observed no whirlpool disinfectant available for use in each shower room. Staff stated that the whirlpool tubs were not used. Provide/re-stock wirlpool disinfectant.A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).Skin contact surfaces of all shared bathing equipment shall be cleaned with a detergent solution and then disinfected with an EPA registered hospital disinfectant between patient uses. 15A NCAC 18A .1312 (f). The manufacturer's instructions shall be followed for cleaning equipment with pumps. See rule .1312 (f).
17	1	Water fountains clean, good repair, properly regulated	No	No	No	Observed the water fountains were not clean and had clogged drains on the main hall (near guest restrooms) and 200 hall; and the water fountain in the 400 hall living area was not working.**Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a).
28	0.50	Adequate storage, area clean, items properly stored	No	No	No	Observed boxes of paper stock (toilet paper and paper towels), and other stock items were stored on the floor in the exterior storage/housekeeping office.All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a).
33	1	Linen changed when soiled. Soiled linen handled properly	No	No	No	Observed the resident's sheets were soiled in room 407.**Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
40	0.50	Food brought by employees or visitors handled properly	No	No	No	Observed several bags of food brought in by visitors for residents were no labled in the nourishment refrigerators.**Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply and shall be labeled with the name of the person to receive the food and the date the food was brought into the facility. 15A NCAC 18A .1321 (b).